Giant cystic degeneration of a uterine leiomyoma in a patient with autosomal dominant polycystic kidney disease

Abstract

ObjectiveTo report the management of a large uterine leiomyoma with diffuse cystic degeneration in a patient with autosomal dominant polycystic kidney disease (ADPKD).DesignCase Report.SettingCleveland Clinic Florida, Department of Gynecology, Section of Minimally Invasive Gynecologic surgery, Weston Florida.Patient(s)A 52-year old woman with ADPKD with a large abdominal mass, abnormal uterine bleeding and symptomatic anemia. Imaging revealed a giant intramural cystic lesion of the uterus compressing the inferior vena cava.Intervention(s)Uterine artery embolization and blood transfusion followed by a computed tomography guided cyst aspiration were performed on admission to alleviate anemia and abdominal pain and distension. Total laparoscopic hysterectomy with bilateral salpingectomy was performed in an outpatient setting.Main Outcome Measure(s)Management of large cystic degeneration of leiomyoma.ResultsNormal recovery from definitive surgery. Surgical pathology confirmed a benign, cystically dilated leiomyoma.ConclusionThis case demonstrates the management of giant intramural cyst lesion of the uterus using a minimally invasive surgical approach, as opposed to emergency surgery via laparotomy.CapsuleLarge uterine leiomyoma with diffuse cystic degeneration in a patient with autosomal dominant polycystic kidney disease, in which step-wise treatments allows successful minimally invasive hysterectomy.

A rare case of cystic degenerated fibroid masquerading as an ovarian mass

“…[ 2 ] The various types of degenerative changes observed include hyaline, myxoid, red, and cystic degenerations. [ 4 ] Hyaline degeneration is the most common type of degeneration, seen in 60% cases. Red degeneration most often occurs during pregnancy.…”